Difference between revisions of "Escitalopram-trazodone"

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| from = escitalopram  
 
| from = escitalopram  
 
| to = trazodone  
 
| to = trazodone  
| stop =  
+
| stop = {{StopSSRI,SNRI}}
* Gradually reduce dosage of escitalopram to a maximum of 10 mg/day, when this dosage is > 10 mg/day.
+
| start = {{StartAntidepressant}}
* When a dosage 10 mg/day, is reached, stop administration.
+
| info =
| start =  
+
* Safe target dose trazodone as antidepressant = 150 mg
* No wash-out period is needed.
 
* Start trazodone the next day in a dosage of 10-150 mg/day.
 
* If necessary, increase the dosage of trazodone to a maximum of 400 mg/day.
 
| info =
 
 
* {{theorSS}}
 
* {{theorSS}}
 
}}
 
}}

Latest revision as of 16:23, 24 February 2023

Escitalopram
Type Antidepressant
Group SSRI
links
Medscape Escitalopram
PubChem 10832572
PubMed Escitalopram
Kompas (Dutch) Escitalopram
Wikipedia Escitalopram
Trazodone
Type Antidepressant
Group other
links
Medscape Trazodone
PubChem 5533
PubMed Trazodone
Kompas (Dutch) Trazodone
Wikipedia Trazodone

Switch medication from escitalopram to trazodone.[1] [2]

Nietinrijdenbord.png Stop escitalopram
  • Day 1: Decrease dose to 50%
  • Day 8: Stop
Eenrichtingbord.png Start trazodone
  • Day 1: Start with 50% of the target dose
  • Day 8: Increase dose to 100% of the target dose
  • Day 9 and after: Gradually increase dose as necessary
Infobord.png More information
  • Safe target dose trazodone as antidepressant = 150 mg
  • Occurrence of the serotonin syndrome is not likely, but theoretically possible, so caution is necessary.
  1. Switches are based on literature references on this page and expert opinions of the authors. The authors have used pharmacokinetic and receptor affinity properties to determine the switch schedules
  2. Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
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